A nn ua l R e p ort F i s c a l Ye a r 2 0 1 4 - 2 0 1 5
GOOD
SHEPHERD
HEALTH
CARE
SYSTEM
WHAT’S NEW – WHAT’S COMING
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nother year has gone by quickly and there have been many changes at Good Shepherd Health Care System (GSHCS). We are excited to share our annual report, highlighting major changes, celebrating our successes and keeping you apprised of challenges going forward. In July, we held an open house for our new Surgery Department Expansion/Remodel and our Central Utility Plant (CUP). This $15.3 million project provides an advanced utilities plant connected to the hospital by an underground “utilidor”. The CUP houses air conditioning, medical air and gasses, vacuum, water softening and both domestic and landscape water pumps. The upgrades in equipment and separated location provides additional expansion flexibility and efficiencies of operation. We also opened our new Surgical Services addition in September. This state-of-the-art facility adds two large operating rooms, a new Central Supply for cleaning and storing medical equipment and expands Day Surgery to 23 beds. The addition also provides remodeled waiting areas, new restrooms, improved patient access and space for future expansion. We want to thank everyone that participated in the open house. On October 1, GSHCS performed the Centers for Medicare and Medicaid Services (CMS) mandated transition from ICD-9 to ICD-10. This is a change in coding classifications for diseases and injuries. It is exponentially more complex, moving from 16,800 codes to over 140,000 codes – dramatically increasing coding modifiers to further define disease including specification, complications, comorbidities and other information including how injuries occurred. Our coders have been well-trained and are ready to move forward with the new system. Complementing our transition to an Electronic Health Record (EHR) this past year, GSHCS is currently attesting for Meaningful Use Stage 2. This is a CMS classification of the capabilities of a hospital EHR. We hope this will be successfully completed by the end of this year and we will be on schedule to pursue CMS’ next level of qualification – Meaningful Use Stage 3. Looking forward, the Board of Trustees and Administration are completing plans on a north wing expansion of
Leadership Administration Dennis E. Burke President & CEO
Jim L. Schlenker Chief Operating Officer Jan D. Peter Vice President, Fiscal Services/CFO Theresa L. Brock Vice President, Nursing Kelly B. Sanders Vice President, Human Resources
Management John Adams Pharmacy
Nick Bejarano Marketing & Communications Lucas Bradshaw Acute Care Services Rick Burrill, Moses Munar Physical Therapy Paula Cooney Medical Records Jonathan Edwards Patient Financial Services Mike Flemmer Accounting Kyle Furukawa Family Care Center Trista Gallagher Children’s Center Tony Garberg Respiratory Care/Cardiac Rehabilitation Juli Gregory Education/Wellness Services Ken Gummer Environmental Services Nancy Gummer Nutrition Services/Diabetes Education Vicki Horneck Oncology/IV Therapy/Wound Care Cathleen Jensen Materials Management D. Ward Jones Chaplain Troy G. LeGore Good Shepherd Medical Group Sheri Lynn Miller Administration Trixie Ortiz Medical Staff Services/Recruiting Doug Paine Maintenance/Biomed
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the Good Shepherd Medical Plaza. This three-story, 30,000 sq. ft. addition will provide additional space for professional and ancillary services. The first planned occupant of the new wing is the Good Shepherd Women’s Center, who look forward to the “growing room”. We have some new additions to our executive and management team. Mr. Jim Schlenker joined as Chief Operating Officer following the retirement of Mr. David Hughes. We also welcomed the following department managers: n Nick Bejarano (Marketing and Communications Director) n Lucas Bradshaw (Acute Care Services Manager) n Cathleen Jensen (Materials Management Manager) n Sid Rittenbach (Home Medical Equipment Manager) n Margaret Rystrom (Home Health Manager) n Blake Stevenson (Chief CRNA) I feel very fortunate to have such a strong management team. We are involved in a consortium of organizations exploring a new Family Practice residency program within northeastern Oregon. GSHCS has been a partner with Pacific NW University in Yakima in providing medical student training for a number of years. While we have added a much-needed medical school to our area, our state has not kept pace with the need for residency openings. We are very excited about the possibilities of a local residency program and hope to develop the framework within the coming year. I want to again express my appreciation to our Board of Trustees for their dedication and leadership, and to Mr. Steve Eldrige, for serving another year as our Board Chairman. I would also like to thank Dr. Gary Trupp, our Medical Staff President, and all of our medical staff department and committee chairs for their professional guidance. My thanks to our administrative team and department managers for their strategic leadership and superb day-to-day management of Good Shepherd Health Care System. Thank you to our staff and volunteers for your commitment to patients and fulfillment of our mission. And thank you, our supportive community, for your trust and confidence. We are well-positioned to move forward – meeting the challenges of the New Year.
Sid Rittenbach Home Medical Equipment Rob Rizk Information Technology Carollyn Robinson Vange John Memorial Hospice Robert Rose Diagnostic Imaging Margaret Rystrom Home Health Cindy Schaan Volunteer Services Rebecca Schwartz ER/Case Management/Quality Blake Stevenson Anesthesia (VACANT) Laboratory (VACANT) Surgical Services
GSHCS Board of Trustees Chair Steve Eldrige
Vice Chair Nancy Mabry Treasurer Tom Wamsley Secretary Dr. Derek Earl Rachel Archer Bob Carlson Janet Cooley Sue Daggett Bill Elfering Arnell Eynon Gabino Gispert Glenn Youngman
Medical Staff
Dennis E. Burke, President & CEO Good Shepherd Health Care System
Chief of Staff Dr. Gary Trupp Vice Chief of Staff Dr. Jerry Crum GSHCS President & CEO Dennis E. Burke
Auxiliary
President Peggy Henderson
Community Health Foundation President Dave Ego
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FOCUSING ON POPULATION HEALTH
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t is a pleasure to again provide our Annual Report in which we highlight Good Shepherd Health Care System’s (GSHCS) major accomplishments, share challenges we face and look forward to opportunities to better serve our community. This year, Oregon has placed a significant focus on concepts of population health and value-based purchasing. Population health focuses on the attributes that make and keep a population healthy. GSHCS participates with other hospitals, healthcare providers and our county health departments in a comprehensive community health needs assessment for our area. It is our mission to focus attention and resources in addressing these identified needs. GSHCS’s Education Department provided over 1,300 health-related education programs to assist in educating our community on maintaining and maximizing their health. We have also been actively involved in expanding primary care within our community to assure timely access and improved continuity of care. This year, GSHCS (through an Oregon Health Authority Innovation Grant) launched our ConneXions program. This program combines the concepts of community health navigators with experienced case managers. These highlytrained individuals assist people in effectively navigating and utilizing area healthcare in an efficient and effective manner. They have been especially helpful to people with chronic conditions that frequently utilize the Emergency Room. They assist in medication management and help establish primary care relationships to improve continuity of care. We have already had very positive feedback on this program’s effectiveness. It is also being used as a model by other Oregon hospitals. Healthcare value is defined as the interplay between quality, patient satisfaction and reasonable costs. Value-based purchasing looks at these components from the vantage of those who pay for care. Are we getting value? Healthcare organizations, such as GSHCS, must look at this equation more closely than ever before. As you can see within this report, GSHCS had a strong financial year. As such, we have been able to keep our price increases reasonable. GSHCS remains significantly below the median costs per episode of care of other small and rural hospitals within the state. We also take quality and patient
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satisfaction very seriously. This year, GSHCS met or exceeded “above average” scores in 75 percent of CMS (Centers for Medicare & Medicaid Services) Core Measures. GSHCS uses NRC Picker as a surveying organization to measure patient satisfaction. Good Shepherd exceed the NRC Picker 50th percentile in 80 percent of their indicators and the 75th percentile in 40 percent of their indicators. This year, the Oregon Association of Hospitals and Health System (OAHHS) launched the Oregon Hospital Guide (www.OrHospitalGuide.org), a new website that displays hospital quality and patient experience data in a user-friendly platform. Good Shepherd received a “blue medallion” for above average performance in patient satisfaction. While we have made significant improvement over the years in national quality and patient satisfaction benchmarks, we recognize that we are not perfect. We have attempted to foster a culture that is open to your suggestions and sensitive to your complaints – we welcome your comments and promise to use them to improve our services going forward. GSHCS has had the good fortune and continuity of a stable, longtenured Board of Trustees. This year, we have had some changes. We were deeply saddened by the passing of long-time board member Mr. Richard Lindner. Mr. Lindner served on the board and various board committees from 1998-2014. He was deeply committed to the mission of GSHCS and a very active participant. We also said goodbye to Ms. Tricia Fenley, who moved from the area to pursue an advancement of her career. She served on the board and various board committees from 2009-2015. Mr. Glenn Youngman has re-joined the board, having previously served from 19871996. Mr. Youngman is retired, formerly serving in the Umatilla County Sheriff ’s Department and as a Umatilla County Commissioner. Also joining the board is Mrs. Arnell Eynon. Mrs. Eynon is employed as a counselor at Two Rivers Correctional Institution. On behalf of the Board of Trustees, it is our pleasure to serve you. I want to express our appreciation and thanks for the confidence that you place in Good Shepherd Health Care System. We take our mission seriously and pledge to continue enhancing the value of the services we provide.
GSHCS had a strong financial year.
Steve Eldrige, Chair Board of Trustees Good Shepherd Health Care System
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PATIENT CARE DATA 2012-2013
2013-2014
2014-2015
Births
520
436
427
Discharges
1,868
1,795
1,842
Patient Days
4,942
4,661
4,854
Surgeries
3,291
3,500
3,535
Outpatient Visits
44,280
47,933
51,304
Emergency Room Visits
18,606
17,576
19,626
Home Health Visits
2,881
3,472
4,196
Medical Group RVUs
51,533
49,153
53,558
Health/Wellness Programs
2,380
1,889
2,169
REVENUE AND EXPENSES FOR FISCAL YEARS ENDING JUNE 30 (IN MILLIONS OF DOLLARS)
Non-operating Revenue 3.23
Operating Expenses 71.02
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Operating Revenue 80.002
Non-operating Revenue 3.642
Operating Expenses 75.506
Operating Revenue 85.619
Non-operating Revenue 6.432
Operating Expenses 76.354
Operating Revenue 90.465
2013
2014
2015
Addition to Funds for Building and Development $9,685,909
Addition to Funds for Building and Development $12,211,412
Addition to Funds for Building and Development $20,542,711
THE YEAR IN NUMBERS
Trends and Key Measures
Trends and Key Measures
2013 2014 2015
$40,000,000
$30,000,000
$20,000,000 $10,000,000 $0 Annual PayrollGoods and Charity Care Annual Charity Payroll
Services
Care
Medicaid Discounts Medicaid
Medicare Discounts
Discounts
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T
he Good Shepherd Community Health Foundation uses the interest accrued from our endowments and donations received from direct appeal campaigns and fundraisers to fund projects in keeping with our mission. In December 2014 we partnered with the Hermiston Morning Kiwanis Club and sponsored the Festival of Trees, raising $11,000 for the foundation. The foundation had assets and equity totaling $4,658,500 at fiscal year-end. In June 2015, we held our 22nd annual Scramble for Scholarships golf tournament and raised over $19,000 to provide funds to community members seeking healthcare-related careers. This year, the foundation awarded $35,500 in scholarship funds to local students seeking degrees applicable to healthcare-related careers. Foundation grants are awarded twice a year, in October and April. Grants totaling $81,080 were awarded this fiscal year. The interest gained on a bequest from the late Mary Ellen Paul provided an additional $52,490 in grants to six designated charities including Eastern Oregon University, Blue Mountain Community College, Vange John Memorial Hospice, Domestic Violence Service West End Project, Humane Society of Eastern Oregon and the Good Shepherd Community Health Foundation.
Other grants made by the foundation this fiscal year included: n $ 5,000 to Altrusa International to provide funding to construct a gateway entrance to the Oxbow Trail n $ 3,000 to City of Irrigon to install security equipment at children’s skate park & playground n $ 10,000 to the Echo School District PTA to replace gravel on elementary school playground n $ 1,895 to Ione School District to purchase a slide for community pool n $ 600 to the Stanfield Public Library to purchase medical materials collection for the library n $ 1,495 to Good Samaritan Ministries for copy machine & office equipment n $ 1,500 to the iCan Bike/iCan Shine program to support teaching disabled children to ride bicycles n $20,000 to the Hermiston School District to support the Kennison Field development & installation (total commitment of $100,000 over five years) n $9,000 to Good Shepherd Education Department to support the expansion of health education & screening services, healthy cooking classes, and skin calipers & body composition analyzer n $2,000 to Blue Mountain Community College for additional exercise & fitness equipment n $2,000 to the City of Heppner to add water fountains & bike racks at three parks n $15,000 to Domestic Violence Services to install alarm devices and drive-through gates n $ 4,500 to Guardian Care Center for Child Abuse Summit funding n $ 1,813 to Stanfield Secondary School for purchase of automated external defibrillator (AED)
WELCOME Mr. Jim Schlenker, our new Chief Operating Officer, hit the ground running on March 2. Mr. Schlenker joined GSHCS after serving as Chief Financial Officer at St. Anthony Hospital in Pendleton for six years, with two of those years spent as interim Chief Executive Officer. His impact has been evident as he began working on our transformation project updating our facility and spaces, most notably our new surgery expansion and remodel project. 8
Rachel Brennan, D.O. Pediatrician
Mariette Macrander, M.D. Family Medicine
n $ 1,500 to Umatilla County 4-H Leaders Association for “Health Rocks” program with at-risk youth n $ 1,777 to Umatilla-Morrow Head Start, Inc. for infant & booster car seats for low income families In December 2014, the foundation sponsored the annual Christmas Spirit Award recognizing community members that represent the Spirit of Christmas; that is, the spirit of giving throughout the year. The 2014 selectees were Laurie Ball-Kiser and David Florea. The foundation also welcomed Janet Cooley and Bill Elfering to the foundation board of directors. The Fund Development Committee was highly effective in originating, developing, and implementing programs to benefit the foundation and community. Through its marketing efforts, 30 cars were donated to the foundation for a total of $14,244 in revenue. Five new Honor Trees were designated by community members with plaques placed along the hospital walking trail. Honorees were Richard Lindner, Luther Fitch, Charles Edwin Denton, Ben & Joe Thomas, and Evangeline (Vange) John. Other highlights included the installation of a foundation bench, Drs. Day, planned giving education, commodity gift development, and community outreach. The mission of Good Shepherd Community Health Foundation is to enhance the quality of life and general health of residents living in west Umatilla and Morrow County communities.
Good Shepherd Community Health Foundation Board President Dave Ego
Vice President Julie Puzey Treasurer Liz Marvin Kurt Bendixsen Janet Cooley Bill Elfering Manuel Gutierrez Francie Hansell Jacelyn Keys Mike Madsen Cindy Middleton Angela Pursel LaDonna Quaempts Margaret Saylor Tom Wamsley Ex Officio Dennis Burke Steve Eldrige Gary Trupp, MD Executive Director Bob Green
Dave Ego, Foundation President Good Shepherd Community Health Foundation
IN MEMORIAM Richard W. Lindner On November 13, 2014, Good Shepherd Health Care System lost an active member of the community and board of trustees. GSHCS is grateful for the contribution that Mr. Lindner made while serving on the board.
Peter Farkas, M.D. Internal Medicine Hospitalist
Ric Pardini, M.D. Emergency Medicine 9
CONNE XIONS
C
onnexions is a program at Good Shepherd Health Care System (GSHCS) that was developed and implemented by the GSHCS Education Department, led by Juli Gregory and a team of community health workers, in response to an apparent need to help high utilizers of hospital resources get connected (hence connections with an X) to resources in the community that could better support their immediate medical needs. Because of our expansive service area high utilizers of services can come from Umatilla and Morrow counties. A great example of this service in action is seen when someone in our community isn’t connected with a primary care provider (PCP), and decides to use the emergency department for a non-emergent need. This ties up valuable resources at a great cost to the patient and medical center for something that is easily treatable by a PCP. When this happens our team of conneXions community health workers spring into action. They first identify these patients with the goal of helping them get connected with a PCP. If needed the community health
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workers are also available to provide education for: n Financial Concerns n Medical Needs n Disease and Educational Training n Medication Management n Healthcare Coverage n Basic Needs; Housing, Food, Transportation n Emotional, Stress, and Anger Management n Addictions n Health and Wellness Screenings n Support Groups Currently the conneXions team has been able to touch hundreds in our community providing them with the knowledge and support they need to make well educated decisions when determining how to best access the health care services our community has to offer.
MEDICAL STAFF REPORT
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s the Medical Staff President for this past year, it is my privilege to provide the annual Medical Staff report. I am proud to serve in this leadership role with an outstanding group of physicians. As we close out another year, the medical staff continues our efforts to improve the healthcare that is delivered to our community at Good Shepherd Health Care System. As in previous years, there are many tangible ways these efforts can be demonstrated. These include, but are not limited to, successful physician recruitment, improving the quality of our care and expanding the services we offer. Recruitment of high quality physicians continues to be a priority. This has become exceedingly challenging for health care systems across the nation and even more so for smaller rural destinations. However, this year we are very pleased to introduce several new physicians that have joined our staff. We added Rachel Brennan, D.O., and Wendy Wu, M.D., (Pediatricians), Mariette Macrander, M.D., (Family Practice/OB – Mirasol Family Health Center). Peter Farkas, M.D., is serving as medical director of our hospitalist program. This year, we also welcomed Eli Rosenthal, M.D., a visiting cardiologist from Legacy Health System and Jeffrey Lehr, M.D., a visiting cardiologist from Kadlec. We were saddened to say goodbye to Paul Campagna, M.D., (Pediatrician), who retired in August after nine years with GSHCS. We wish him the very best! On the quality front, we continue to expand the ability of our electronic health record in order to utilize data to increase the coordination of care between our hospital and physicians in our community which increases the safety and quality of care we provide for our patients. This spring, we implemented Computerized Provider Order Management (CPOM) – the final step in transitioning to a complete electronic health record. In addition to the EHR Task Force, led by Dr. Tom Holt, we established a Physician EHR Committee, which is chaired by Leila Keeler, D.O., and includes six other physicians, with the intent of ensuring continued physician leadership representation in future changes to our electronic health system. I would like to once again thank the members of both committees and recognize the important work being done in order to keep our patients safe. Finally, my thanks to the physician leaders who help maintain this
top-notch medical staff: Vice President, Jerry Crum, M.D., Bylaws/ Credentialing Chair, Larry Adams, M.D., Surgery/OB Chair, Jeremy Anderson, D.O., Family Medicine/Pediatrics/Internal Medicine Chair, C. W. “Bill” Dronkowski, M.D., MSPA Chair, Tom Holt, M.D., and EMC/Trauma Chair Mark Donnelly, M.D. We look forward to another successful and productive year.
Gary Trupp, M.D., Obstetrics and Gynecology Medical Staff President Good Shepherd Health Care System
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We are a non-profit health care system serving Umatilla and Morrow Counties in Eastern Oregon. Our mission is to provide compassionate, high quality and accessible health care, and to promote a healthy community. Our values are quality, compassion, courtesy, and efficiency.
GOOD
SHEPHERD
HEALTH
CARE
SYSTEM
610 NW Eleventh Street, Hermiston, Oregon 97838 n (541) 667-3400 n www.gshealth.org